Payroll Action Request Rate or Title Changes for Student Employees, please download and complete this form before making an action request. For questions regarding this form, contact the CEHD Business Office. Requester's Name*Requester's Email* Supervisor's Name*Supervisor's Email* Cannot be the same as requester.Action for:*New HireStudent EmployeeStaffTerminateChange to existing employeeIs student evaluation on file?*YesNoUpload Student Evaluation Drop files here or Accepted file types: pdf, doc, docx. What changes should be made?*(rate of pay, source of funds, annual term, etc.)Employee InformationEmployee Name First Last Title (Optional)UIN or SSN*Email* Start Date* Date Format: MM slash DD slash YYYY End Date* Date Format: MM slash DD slash YYYY Percent Effort*Please enter a number from 1 to 100.Rate of Pay*Attach a Document Drop files here or Accepted file types: pdf, doc, docx.